Provider Demographics
NPI:1851483366
Name:FREE, JERRY FRANKLIN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JERRY
Middle Name:FRANKLIN
Last Name:FREE
Suffix:JR
Gender:M
Credentials:DC
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Mailing Address - Street 1:3420 BUFORD DR
Mailing Address - Street 2:E-780
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-4990
Mailing Address - Country:US
Mailing Address - Phone:770-945-7246
Mailing Address - Fax:770-945-7044
Practice Address - Street 1:3420 BUFORD DR
Practice Address - Street 2:E-780
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4990
Practice Address - Country:US
Practice Address - Phone:770-945-7246
Practice Address - Fax:770-945-7044
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2014-07-30
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Provider Licenses
StateLicense IDTaxonomies
GA008871111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051504936Medicare ID - Type UnspecifiedPROVIDER